Individual provider Active NPI

Katherine Elizabeth Herzog, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Chesterfield, MO
National Provider Identifier
1356504385
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2013027011 Issued in MO
Practice address
14855 N Outer 40 Rd
Chesterfield, MO 63017-2026
Phone
(702) 899-0595
Fax
(702) 977-1496
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X P7647 TX
Physical Medicine & Rehabilitation Physician 208100000X 2013027011 MO Primary

Addresses

Primary practice location

14855 N Outer 40 Rd
Chesterfield, MO 63017-2026

Mailing address

PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595

Other practice location 1

221 Mahalani St
Wailuku, HI 96793-2526
Phone (872) 231-3162

Other practice location 2

4105 Briargate Pkwy Ste 110
Colorado Springs, CO 80920-3482
Phone (872) 231-3162

Other practice location 3

4801 W Peterson Ave Ste 618
Chicago, IL 60646-5728
Phone (872) 231-3162

Other practice location 4

1904 Wellspring Ave SE Ste 109
Rio Rancho, NM 87124-4885
Phone (872) 231-3162

Other practice location 5

4534 W Gate Blvd Ste 114
Austin, TX 78745-1468
Phone (872) 231-3162

Other practice location 6

100 Joyce Dr
Brunswick, GA 31525-9491
Phone (872) 231-3162

Other identifiers 1

IdentifierTypeStateIssuer
1356504385MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, HI, CO, GA, NM, TX7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20131109000083 MO Practitioner - AnesthesiologyPractitioner - Physical Medicine and Rehabilitation 7012142581 Reassigns benefits to 1 organization
I20171128001463 IL Practitioner - Physical Medicine and Rehabilitation 7012142581 Reassigns benefits to 1 organization
I20230920001203 HI Practitioner - Physical Medicine and Rehabilitation 7012142581 Reassigns benefits to 1 organization
I20231002000362 CO Practitioner - Physical Medicine and Rehabilitation 7012142581 Reassigns benefits to 1 organization
I20231218003419 GA Practitioner - Physical Medicine and Rehabilitation 7012142581 Reassigns benefits to 1 organization
I20231221003188 NM Practitioner - Physical Medicine and Rehabilitation 7012142581 Reassigns benefits to 1 organization
I20240501002708 TX Practitioner - Physical Medicine and Rehabilitation 7012142581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Missouri, Kansas City, School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians

Practice addresses (Care Compare)

101 S Belt W
Belleville, IL 62220-2503
Phone (618) 277-7700

103 Hospital Loop NE
Albuquerque Heights Healthcare and Rehab
Albuquerque, NM 87109-2115
Phone (505) 348-8300

11020 Dessau Rd
Austin, TX 78754-2053
Phone (512) 873-2244

1362 S Main St
Ellijay, GA 30540-5410
Phone (706) 276-4708

221 Mahalani St
Wailuku, HI 96793-2526
Phone (312) 635-0973

4534 W Gate Blvd
Suite 114
Austin, TX 78745-1468
Phone (512) 614-4612

7068 S Outer
364 Delmar Gardens of O'Fallon
O'Fallon, MO 63368-7757
Phone (312) 635-0973

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince Oct 7, 2017 Accepting new patients
Integrated Rehab Consultants Colorado LLC Physical Medicine & Rehabilitation CurrentSince Sep 1, 2023 Accepting new patients
Integrated Rehab Consultants Colorado LLC Physical Medicine & Rehabilitation CurrentSince Sep 1, 2023 Accepting new patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince Oct 7, 2017 Accepting new patients
Integrated Rehab Consultants Colorado LLC Physical Medicine & Rehabilitation Current Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations (25 of 36)

2121 Mesa Dr
Boulder, CO 80304
Phone (303) 422-4037

4105 Briargate Pkwy
Ste 110
Colorado Springs, CO 80920
Phone (719) 282-0369

290 S Monaco Street Pkwy
Denver, CO 80224
Phone (303) 355-2525

11750 W 2nd Pl
Ste 230
Lakewood, CO 80228
Phone (303) 232-2001

100 Joyce Dr
Brunswick, GA 31525
Phone (912) 267-9621

812 S Park St
Ste 2
Carrollton, GA 30117
Phone (770) 214-8282

1362 S Main St
Ellijay, GA 30540
Phone (706) 276-2417

1677 Pensacola St
Honolulu, HI 96822
Phone (808) 537-3371

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

101 S Belt W
Belleville, IL 62220
Phone (618) 227-2700

4801 W Peterson Ave
Ste 618
Chicago, IL 60646
Phone (773) 777-9494

401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940

335 Illinois St
Crystal Lake, IL 60014
Phone (815) 459-7791

701 N La Grange Rd
La Grange Pk, IL 60526
Phone (708) 681-3200

3065 William St
Ste 205
Cape Girardeau, MO 63703
Phone (573) 334-2000

14855 North Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 532-0150

15197 Clayton Rd
Chesterfield, MO 63017
Phone (636) 394-7515

1200 Graham Rd
Florissant, MO 63031
Phone (314) 383-6555

1201 Garden Plaza Dr
Florissant, MO 63033
Phone (314) 831-3752

250 S New Florissant Rd
Florissant, MO 63031
Phone (314) 830-7950

206 N Main St
O Fallon, MO 63366
Phone (314) 495-8887

7068 S Outer 364
O Fallon, MO 63368
Phone (636) 240-6100

35 Sugar Maple Ln
Saint Charles, MO 63303
Phone (636) 946-4718

3520 Chouteau Ave
Saint Louis, MO 63103
Phone (314) 368-3422

13230 Manchester Rd
Saint Louis, MO 63131
Phone (314) 480-5259

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1356504385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14855 N OUTER 40 RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172026",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Mahalani St",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967932526",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4105 BRIARGATE PKWY STE 110",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809203482",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 W Peterson Ave Ste 618",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606465728",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1904 Wellspring Ave SE Ste 109",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871244885",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4534 W Gate Blvd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787451468",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Joyce Dr",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315259491",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P7647",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2013027011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356504385",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.